Konke Mayelana ne-Pericarditis

-Delile

• Yini i-pericarditis?
• Amaqiniso asheshayo nge-pericarditis
• Amagama e-Pericarditis
• Izimpawu ze-pericarditis
• Izimbangela ze-pericarditis
• Ukuhlonza i-pericarditis
• Ukwelapha i-pericarditis
• Ama-NSAID
• I-Colchicine
• Ama-Corticosteroids
• Ukuhlinzwa
• Ukuvimbela i-pericarditis
• Uyini umbono?

Yini i-pericarditis?

I-Pericarditis ukuvuvukala kwe-pericardium, isaka elincanyana, elinemigqa emibili elizungeze inhliziyo yakho.

Izendlalelo zinenani elincane loketshezi phakathi kwazo ukuvimbela ukungqubuzana lapho inhliziyo ishaya. Lapho izingqimba zivutha, kungaholela ebuhlungwini besifuba.

Indima yoketshezi lwe-pericardial ukugcoba inhliziyo futhi i-pericardium iyivikele ekuthelelekeni. I-pericardium ibuye isize ukugcina inhliziyo yakho isendaweni ngaphakathi kodonga lwesifuba.

I-Pericarditis yisimo sokuvuvukala, imvamisa sibi, sifika ngokuzumayo, futhi sihlala ezinsukwini ezimbalwa kuya emasontweni ambalwa.

Imbangela ye-pericarditis eminingi ayaziwa, kepha ukutheleleka ngegciwane kucatshangwa ukuthi kuyimbangela yamacala.

Noma yini enye ebanga ukuvuvukala, njengomdlavuza, nayo ingadala i-pericarditis. Imithi ethile nayo ingaba imbangela.

Isikhathi esiningi, i-pericarditis iyazixazulula yodwa. Kodwa-ke, ukwelashwa kuyatholakala ukunciphisa isikhathi sesimo nokuvikela ukuphindeka.

Ezinye izimo zokuvuvukala kwenhliziyo yilezi:

• I-Endocarditis. Lokhu kufaka ukuvuvukala kwe-endocardium, ulwelwesi lwangaphakathi lwamagumbi enhliziyo namavalvu akho. Ngokuvamile kubangelwa ukutheleleka kwebhaktheriya.
• I-myocarditis. Lokhu ukuvuvukala kwemisipha yenhliziyo, noma i-myocardium. Ngokuvamile kubangelwa ukutheleleka ngegciwane.
• I-Myopericarditis. Lokhu ukuvuvukala kwemisipha yenhliziyo ne-pericardium.

Amaqiniso asheshayo nge-pericarditis

• Noma ngubani angathola i-pericarditis.
• Cishe amaphesenti ama-5 abantu abaya egumbini lezimo eziphuthumayo ngezinhlungu zesifuba bane-pericarditis.
• Cishe amaphesenti ayi-15 kuye kwangama-30 abantu abane-pericarditis bazoba nayo ngaphezu kokukodwa, okubizwa nge-recicrent pericarditis.
• Isigameko se-pericarditis sisebantwini base-Afrika baseMelika.
• Isifo sofuba singenye yezimbangela ezinkulu ze-pericarditis.
• I-Pericarditis ivela ku-Greek "perikardion," okusho ukuzungeza inhliziyo. Isijobelelo “-itis” sivela esiGrekini sokuvuvukala.

Amagama e-Pericarditis

• I-pericarditis enamandla kuvame kakhulu. Kungenzeka uqobo noma njengophawu lwesifo esiyimbangela.
• I-pericarditis ephindayo (noma ephindayo) kungaba ngezikhathi ezithile noma njalo. Ukuphindeka kokuqala kuvame ukuba phakathi kokuhlaselwa kokuqala.
• I-Pericarditis ibhekwa okungamahlalakhona lapho ukubuyela emuva kwenzeka ngokushesha lapho ukwelashwa okulwa nokuvuvukala kumisiwe.
• Ukukhishwa kwe-Pericardial ukwakhiwa koketshezi ezingqimbeni ze-pericardium. yabantu abanemiphumela emikhulu ye-pericardial baba ne-tamponade yenhliziyo, okuyisimo esiphuthumayo kwezokwelapha.
• I-tamponade yenhliziyo ukwakheka okungazelelwe kuketshezi ezingxenyeni ze-pericardium, okudala ukuthi umfutho wegazi lakho wehle futhi uvimbe inhliziyo yakho ukuthi ingakwazi ukugcwalisa. Lokhu kudinga ukwelashwa okuphuthumayo.
• I-pericarditis ebambezelekile noma i-Dressler syndrome kulapho i-pericarditis ikhula emasontweni emva kokuhlinzwa kwenhliziyo noma isifo senhliziyo.
• I-pericarditis ecindezelayo kulapho i-pericardium iba nesibazi noma inamathele enhliziyweni ukuze imisipha yenhliziyo ingakwazi ukwanda. Lokhu akuvamile futhi kungakhula kubantu abane-pericarditis engapheli noma ngemuva kokuhlinzwa kwenhliziyo.
• I-pericarditis evimbela amandla kulapho kokubili ukuxubana nokucinana kukhona.

Izimpawu ze-pericarditis

I-Pericarditis ingazizwa njengokuhlaselwa yisifo senhliziyo, ngobuhlungu obukhali noma obugwazayo esifubeni sakho obuza ngokuzumayo.

Ubuhlungu bungaba phakathi noma ohlangothini lwesobunxele sesifuba sakho, ngemuva kwethambo lesifuba. Ubuhlungu bungakhanya emahlombe akho, entanyeni, ezingalweni, noma emhlathini.

Izimpawu zakho zingahluka, kuya ngohlobo lwe-pericarditis onayo.

Lapho unobuhlungu besifuba obubukhali, kungcono ukuthi ufune usizo lwezokwelapha ngokushesha.

Cishe amaphesenti angama-85 kuya kwangu-90 abantu abane-pericarditis banezinhlungu zesifuba njengophawu. Ezinye izimpawu zifaka:

• umkhuhlane ophansi
• ubuthakathaka noma ukukhathala
• ukuphefumula kanzima, ikakhulukazi lapho ulele phansi
• ukushaya kwenhliziyo
• ukukhwehlela okomile
• ukuvuvukala ezinyaweni, emilenzeni nasemaqakaleni

Izimpawu zakho zingase zibe zimbi kakhulu uma:

• lala uyisicaba
• donsa umoya
• ukukhwehlela
• ukugwinya

Ukuhlala phansi uncike phambili kungakwenza uzizwe ungcono.

Uma imbangela ye-pericarditis yakho ibhaktheriya, ungahle ube nomkhuhlane, ukubanda, nokubalwa kwamaseli amhlophe ngaphezulu. Uma imbangela iyi-virus, ungaba nezimpawu ezifana nomkhuhlane noma isisu.

Izimbangela ze-pericarditis

Ngokuvamile, imbangela ye-pericarditis ayaziwa. Lokhu kubizwa nge-idiopathic pericarditis.

Ngokuvamile, i-pericarditis ingaba nezimbangela ezithathelwanayo noma ezingezona ezithathelwanayo. Izimbangela ezithathelwanayo zifaka:

• amagciwane
• amagciwane
• isikhunta nezinambuzane, okuyizimbangela ezingavamile kakhulu zombili

Izimbangela ezingathathelani zifaka:

• izingqinamba zenhliziyo, njengokuhlaselwa yinhliziyo kwangaphambilini noma ukuhlinzwa
• izimila ezithinta i-pericardium
• ukulimala
• ukwelashwa ngemisebe
• izimo ezizimele, njenge-lupus
• eminye imithi, okungajwayelekile
• ukuphazamiseka komzimba, njenge-gout
• ukwehluleka kwezinso
• ezinye izifo zofuzo, ezinjengomkhuhlane womndeni waseMedithera

Ukuhlonza i-pericarditis

Udokotela wakho uzokubuza ngomlando wakho wezokwelapha, ukuthi ziyini izimpawu zakho, zaqala nini izimpawu zakho, nokuthi yini okubonakala kuzenza zibe zimbi kakhulu.

Bazokunika ukuhlolwa ngokomzimba. Lapho i-pericardium yakho ivuvukala, inani loketshezi lingakhuphuka phakathi kwezingqimba ezimbili zezicubu esikhwameni, okuholele ekuqothulweni. Udokotela uzolalela nge-stethoscope ukuthola izimpawu zoketshezi oluningi.

Bazolalela nokuxubha okungqubuzanayo. Lona umsindo we-pericardium yakho yokugcoba ngokumelene nengqimba yangaphandle yenhliziyo yakho.

Ezinye izivivinyo ezisetshenziselwa ukuxilongwa zifaka:

• i-X-ray yesifuba, ekhombisa ukwakheka kwenhliziyo yakho noketshezi oluningi ngokweqile
• i-electrocardiogram (ECG noma i-EKG) ukuhlola isigqi senhliziyo yakho bese ubona ukuthi isignali yamandla kagesi inciphile yini ngenxa yoketshezi oluningi
• i-echocardiogram, esebenzisa amaza omsindo ukukhombisa ukwakheka nosayizi wenhliziyo yakho nokuthi ngabe kukhona yini ukuqoqwa koketshezi okuzungeze inhliziyo
• I-MRI, enikeza ukubuka okuningiliziwe kwe-pericardium yakho, kufaka phakathi ukuthi iyajiya, iyavuvukala, noma uma kukhona iqoqo loketshezi
• I-CT scan, enikeza isithombe esiningiliziwe senhliziyo yakho ne-pericardium
• i-catheterization yenhliziyo engakwesokudla, enikeza ulwazi mayelana nengcindezi yokugcwalisa enhliziyweni yakho
• ukuhlolwa kwegazi ukubheka izimpawu zokuvuvukala eziphakamisa i-pericarditis noma yisiphi isifo esisolwayo se-systemic

Ukwelapha i-pericarditis

Ukwelashwa kwe-pericarditis kuzoya ngesizathu sayo esiyimbangela, uma kuyaziwa. Uma une-bacterial infection, unganikezwa ama-antibiotic.

Ezimweni eziningi, ngokusho kwe-American Heart Association, i-pericarditis imnene futhi izosula yona ngokwelashwa okulula, njengemithi elwa nokuvuvukala nokuphumula.

Uma unezinye izingozi zezokwelapha, udokotela wakho angaqala akwelaphe esibhedlela.

Ukwelashwa kuhlose ukunciphisa ubuhlungu nokuvuvukala kwakho futhi kunciphise nengozi yokuphindeka. Ukwelashwa okujwayelekile kwabantu ngaphandle kwezinye izingozi zezempilo kufaka:

Ama-NSAID

Izidakamizwa zokulwa nokuvuvukala ezingaphezu kwamakhompiyutha (NSAIDs) zinqunyelwe izinhlungu nokuvuvukala. I-Ibuprofen noma i-aspirin inikeza impumuzo ngokushesha.

Uma ubuhlungu bakho bukhulu, udokotela wakho angakunikeza umuthi onamandla.

I-Colchicine

IColchicine yisidakamizwa esinciphisa ukuvuvukala esisebenza ekunciphiseni ubude bezimpawu nokuvimbela ukuphindeka kwe-pericarditis.

Ama-Corticosteroids

ICorticosteroids iyasebenza ekwehliseni izimpawu ze-pericarditis.

Kodwa lokho kusetshenziswa kokuqala kwama-corticosteroids kungaba nengozi eyengeziwe yokuphindeka kwe-pericarditis futhi kufanele kugwenywe ngaphandle kwezimo ezimbi kakhulu ezingaphenduli ekwelashweni kwendabuko.

Ukuhlinzwa

Ukuhlinzwa kungacatshangelwa ku-pericarditis ephindaphindayo engaphenduli kolunye ukwelashwa. Ukususwa kwe-pericardium kubizwa nge-pericardiectomy. Lokhu kwelashwa kuvame ukubekelwa njengokwelashwa komugqa wokugcina.

Ukudonsa uketshezi oluningi kungadingeka. Lokhu kungenziwa ngokuhlinzwa noma ngokufaka i-catheter. Lokhu kubizwa nge-pericardiocentesis noma iwindi le-pericardial.

Ukuvimbela i-pericarditis

Ungahle ungakwazi ukuvimbela i-pericarditis, kepha unganciphisa ubungozi bokuphindeka kwe-pericarditis. Kubalulekile ukulandela uhlelo lwakho lokwelashwa.

Kuze kube ululama ngokuphelele, phumula futhi uvikele umsebenzi okhandlayo. Xoxa nodokotela wakho ukuthi kufanele unciphise isikhathi esingakanani umsebenzi wakho.

Uma ubona noma yiziphi izimpawu zokuphindeka, thintana nodokotela wakho ngokushesha okukhulu.

Uyini umbono?

Ukululama kusuka ku-pericarditis kuthatha isikhathi.Kwezinye izimo, kungakuthatha amasonto ukuthi izimpawu ziqede ukuxazululwa.

Izimo eziningi ze-pericarditis zimnene futhi azikho izinkinga. Kepha kungahle kube nezinkinga nge-pericarditis engapheli, kufaka phakathi i-fluid buildup kanye nokucinana kwe-pericardium.

Ukwelashwa kwalezi zinkinga kuyatholakala, kufaka phakathi ukuhlinzwa. Ucwaningo mayelana nezinketho zokwelashwa luyaqhubeka.

Uma i-pericarditis iba yisifo esingapheli, kungadingeka ukuthi uqhubeke nokuthatha ama-NSAID noma ezinye izidakamizwa.

Funa usizo ngokushesha uma unanoma yiluphi uhlobo lobuhlungu besifuba, ngoba kungaba uphawu lwento ebucayi kakhulu.